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1700244720 NPI number — TAIFA PEAKS PHARMD

NPI Number: 1700244720
Health Care Provider/Practitioner: TAIFA PEAKS PHARMD

Information about “1700244720” NPI (TAIFA PEAKS PHARMD) exists in 1700244720 in HTML format HTML  |  1700244720 in plain Text format TXT  |  1700244720 in PDF (Portable Document Format) PDF  |  1700244720 in an XML format XML  formats.

NPI Number : 1700244720 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700244720",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PEAKS",
    "FirstName": "TAIFA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1636 KEMPTON ST SE",
    "SecondLineMailingAddress": "#101",
    "MailingAddressCityName": "OLYMPIA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98501-7523",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-688-4619",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1414 E 72ND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TACOMA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98404-3307",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-537-6668",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/04/2016",
    "LastUpdateDate": "02/04/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "60578888",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "25579",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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